OPTOMETRY GROUP ENTERPRISES PC NPI 1104968338

NPI Information

  • NPI: 1104968338
  • Provider Name: OPTOMETRY GROUP ENTERPRISES, PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: OPTOMETRY GROUP
  • Address: 2961 CANADA RD
    SUITE 104
    LAKELAND, TN
    ZIP 38002
  • Phone: (901) 380-2020

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NPI Details

OPTOMETRY GROUP ENTERPRISES, PC is an optometrist in Lakeland, TN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. OPTOMETRY GROUP ENTERPRISES, PC NPI is 1104968338. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Optometry Group.

The provider's business location address is:

2961 CANADA RD
SUITE 104
LAKELAND, TN
ZIP 38002-893
Phone: (901) 380-2020
Fax: (901) 380-2809

The provider's authorized official is Bart L. Powell .
The authorized official title is Owner-doctor and has the following contact phone number (901) 380-2020.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristODT 1585TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13723555MEDICARE PINTENNESSEE
24919150001MEDICARE NSCTENNESSEE
33940102MEDICAIDTENNESSEE
4DS6005MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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